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HESI PN EXIT EXAM QUESTIONS NEWEST 2026 EXAM
LATEST VERSION SOLVED QUESTIONS & ANSWERS
VERIFIED 100 %
The home health practical nurse (P) visits a young male client with AIDS who
has Kaposi's sarcoma and peripheral neuropathies. His parents, who provide
care for the client, state that their son sleeps most of the time. The PN
observes the client is semi-conscious with stable vital signs and cries out in
pain when turned or moved. A fentanyl patch is in place and skin lesions are
closed and dried. Which intervention should the PN implement?
A. Call for ambulance transportation to the hospital immediately.
B. Give a complete bed bath to further assess the client.
C.Discuss end-of-life decisions with the client's parents.
D.Remove the fentanyl patch as directed by prescription.
Answer: C
Twenty four hours after receiving a telephone prescription for a client's
medication, the practical nurse (P) observes that the prescription has not been
signed by the prescriber, which conflicts with agency policy. Which action
should the PN take?
A.Hold the next dose of medication and assess the client.
B.Continue to administer the medication as initially prescribed.
C.Contact the prescriber for a renewal of the prescription.
D.Discontinue the medication immediately.
Answer: c
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An older adult female resident of a long-term care facility experiences frequent
episodes of urinary incontinence. Which focused assessment is most
important for
the practical nurse (P) to perform regularly in response to the resident's
incontinence?
A. Ability to perform Kegel exercises.
B.Fluctuations in the body weight.
C.Appearance of skin in perineal area.
D.Sleep and rest patterns and routines.
Answer: C
Which is the first intervention for the practical nurse (P) to implement when a
client refuses to take a prescribed medication?
A.Determine the client's reason for refusing the medication
B.Instruct the client about the purpose of the medication.
C.Document the client's refusal on the medication record.
D.Explain to the client the potential harm in not taking the medication.
Answer:A
The practical nurse (P) is assisting a client who is multiparous in active labor
with breathing techniques during contractions. The client's contractions are
occurring every 2 minutes, with a duration of 80 seconds, when she suddenly
wants to go to the bathroom to have a bowel movement. Which should the PN
do first?
A.Obtain fetal heart rate and maternal vital signs.
B.Instruct the client to push with each contraction.
C.Notify the registered nurse (R) of the client's urge to push.
D.Provide the client with a bedpan to have a bowel movement.
Answer :C
At the end of a 12 hour shift, the practical nurse (P) observes the urine in a
client's drainage bag as seen in the picture. Which action should the PN take
next?
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A.Note the most recent white blood cell count.
B.Obtain a fingerstick capillary glucose level.
C.Determine if the client's bladder feels distended.
D.Offer to administer a prescribed PRN analgesic.
Answer :A
The practical nurse (P) stops at a motor vehicle collision site to render aid until
the emergency personnel arrive, and applies pressure to a groin wound that is
bleeding profusely. Which act protects the PN from liability as long as the care
provided is performed in a reasonable and prudent manner?
A.The Standards of Practice for Practical Nurses.
B.The Good Samaritan Act.
C.The Patient's Bill of Rights.
D.The Practical Nurse Code of Ethics.
Answer : B
A 4-year-old client returned to the day surgery unit after an inguinal
herniorrhaphy and has remained stable for the last four hours. The child is
taking PO liquids without any nausea, and the parent wants to take the client
home. Which finding is most important for the practical nurse (P) to obtain
before discharging the client?
A.Presence of bowel sounds.
B.Testes in the scrotal sac.
C.Ambulation tolerance.
D.Ability to void.
Answer: A
The practical nurse (P) is assisting the nurse with the admission physical
assessment of a client diagnosed with pneumonia. What symptom(s) is the
client most likely to exhibit? Select all that apply.
A.Lung crackles.
B.Ankle edema.
C.Painful cough.
D.Bradycardia.
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E.Dyspnea.
Answers: A,C,E
The practical nurse (P) is providing instructions to the unlicensed assistive
personnel (UP) preparing to give a total bed bath to an immobile client who
has a continuous feeding via gastrostomy tube (GT). Which instruction is most
important for the PN to emphasize?
A.Keep the head of the bed raised while the tube feeding is infusing.
B.Report any drainage observed around the GT insertion site.
C.Raise the entire bed while bathing the client to reduce back strain.
D.Use plenty of pillows to position the client on the side after bathing.
Answer: A
The practical nurse (P) observes a client's initial postoperative dressing and
drain as seen in the picture. What follow up action(s) should the PN
implement?
Select all that apply.
A.Clamp the drainage tubing for the next four hours.
B.Report the appearance of the dressing to the charge nurse.
C.Compress the drainage device before closing the tab.
D.Document the appearance of the wound as inflamed.
E.Remove the drainage device and apply a pressure dressing.
Answer: B,D
A client who is a primigravida tells the practical nurse (P), "My baby seems to
be sleeping, but is making funny movements." The PN notices that the infant is
making hand-to-hand movements, smacking the lips, and turning the head.
Which is the best response for the PN to make?
A.These movements indicate that the infant is hungry.
B.Check to see if the infant needs a diaper change.
C.The infant may be uncomfortable. Place the infant on its side.
D.Allow the infant to sleep. The baby is probably only dreaming.
Answer: A
HESI PN EXIT EXAM QUESTIONS NEWEST 2026 EXAM
LATEST VERSION SOLVED QUESTIONS & ANSWERS
VERIFIED 100 %
The home health practical nurse (P) visits a young male client with AIDS who
has Kaposi's sarcoma and peripheral neuropathies. His parents, who provide
care for the client, state that their son sleeps most of the time. The PN
observes the client is semi-conscious with stable vital signs and cries out in
pain when turned or moved. A fentanyl patch is in place and skin lesions are
closed and dried. Which intervention should the PN implement?
A. Call for ambulance transportation to the hospital immediately.
B. Give a complete bed bath to further assess the client.
C.Discuss end-of-life decisions with the client's parents.
D.Remove the fentanyl patch as directed by prescription.
Answer: C
Twenty four hours after receiving a telephone prescription for a client's
medication, the practical nurse (P) observes that the prescription has not been
signed by the prescriber, which conflicts with agency policy. Which action
should the PN take?
A.Hold the next dose of medication and assess the client.
B.Continue to administer the medication as initially prescribed.
C.Contact the prescriber for a renewal of the prescription.
D.Discontinue the medication immediately.
Answer: c
, Page 2 of 56
An older adult female resident of a long-term care facility experiences frequent
episodes of urinary incontinence. Which focused assessment is most
important for
the practical nurse (P) to perform regularly in response to the resident's
incontinence?
A. Ability to perform Kegel exercises.
B.Fluctuations in the body weight.
C.Appearance of skin in perineal area.
D.Sleep and rest patterns and routines.
Answer: C
Which is the first intervention for the practical nurse (P) to implement when a
client refuses to take a prescribed medication?
A.Determine the client's reason for refusing the medication
B.Instruct the client about the purpose of the medication.
C.Document the client's refusal on the medication record.
D.Explain to the client the potential harm in not taking the medication.
Answer:A
The practical nurse (P) is assisting a client who is multiparous in active labor
with breathing techniques during contractions. The client's contractions are
occurring every 2 minutes, with a duration of 80 seconds, when she suddenly
wants to go to the bathroom to have a bowel movement. Which should the PN
do first?
A.Obtain fetal heart rate and maternal vital signs.
B.Instruct the client to push with each contraction.
C.Notify the registered nurse (R) of the client's urge to push.
D.Provide the client with a bedpan to have a bowel movement.
Answer :C
At the end of a 12 hour shift, the practical nurse (P) observes the urine in a
client's drainage bag as seen in the picture. Which action should the PN take
next?
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A.Note the most recent white blood cell count.
B.Obtain a fingerstick capillary glucose level.
C.Determine if the client's bladder feels distended.
D.Offer to administer a prescribed PRN analgesic.
Answer :A
The practical nurse (P) stops at a motor vehicle collision site to render aid until
the emergency personnel arrive, and applies pressure to a groin wound that is
bleeding profusely. Which act protects the PN from liability as long as the care
provided is performed in a reasonable and prudent manner?
A.The Standards of Practice for Practical Nurses.
B.The Good Samaritan Act.
C.The Patient's Bill of Rights.
D.The Practical Nurse Code of Ethics.
Answer : B
A 4-year-old client returned to the day surgery unit after an inguinal
herniorrhaphy and has remained stable for the last four hours. The child is
taking PO liquids without any nausea, and the parent wants to take the client
home. Which finding is most important for the practical nurse (P) to obtain
before discharging the client?
A.Presence of bowel sounds.
B.Testes in the scrotal sac.
C.Ambulation tolerance.
D.Ability to void.
Answer: A
The practical nurse (P) is assisting the nurse with the admission physical
assessment of a client diagnosed with pneumonia. What symptom(s) is the
client most likely to exhibit? Select all that apply.
A.Lung crackles.
B.Ankle edema.
C.Painful cough.
D.Bradycardia.
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E.Dyspnea.
Answers: A,C,E
The practical nurse (P) is providing instructions to the unlicensed assistive
personnel (UP) preparing to give a total bed bath to an immobile client who
has a continuous feeding via gastrostomy tube (GT). Which instruction is most
important for the PN to emphasize?
A.Keep the head of the bed raised while the tube feeding is infusing.
B.Report any drainage observed around the GT insertion site.
C.Raise the entire bed while bathing the client to reduce back strain.
D.Use plenty of pillows to position the client on the side after bathing.
Answer: A
The practical nurse (P) observes a client's initial postoperative dressing and
drain as seen in the picture. What follow up action(s) should the PN
implement?
Select all that apply.
A.Clamp the drainage tubing for the next four hours.
B.Report the appearance of the dressing to the charge nurse.
C.Compress the drainage device before closing the tab.
D.Document the appearance of the wound as inflamed.
E.Remove the drainage device and apply a pressure dressing.
Answer: B,D
A client who is a primigravida tells the practical nurse (P), "My baby seems to
be sleeping, but is making funny movements." The PN notices that the infant is
making hand-to-hand movements, smacking the lips, and turning the head.
Which is the best response for the PN to make?
A.These movements indicate that the infant is hungry.
B.Check to see if the infant needs a diaper change.
C.The infant may be uncomfortable. Place the infant on its side.
D.Allow the infant to sleep. The baby is probably only dreaming.
Answer: A
